THERESA WALKER UTT (NPI# 1477975035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477975035 |
| Entity Type | Individual |
| Full Name | THERESA WALKER UTT |
| Credential | CMF |
| Practice Address |
1044 X Ray Dr Gastonia NC 28054-7488 |
| Practice Telephone | 7046917145 |
| Practice Fax Number | 7046917631 |
| Mailing Telephone | 7046917145 |
| Mailing Fax Number | 7046917631 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224900000X | Mastectomy Fitter | CFM02814 | DE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1044 X RAY DR |
| City | GASTONIA |
| State | NC |
| Zip Code | 28054-7488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669592846 | Anna K Fox | Orthotist | 1044 X Ray Dr, Gastonia, NC 28054-7488 | 2007-03-30 |
| 1457878209 | Randy M Fox | Orthotic Fitter | 1044 X Ray Dr, Gastonia, NC 28054-7488 | 2017-08-23 |
| 1962749838 | Kinetic Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 1044 X Ray Dr, Gastonia, NC 28054-7488 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225671423 | Michaela Karsyn Morris | Behavioral Analyst | 2875 Court Dr. B, Gastonia, NC 28054 | 2019-10-21 |
| 1982263810 | Brenda Sue Fox | Occupational Therapist | Brian Center, 969 Cox Rd, Gastonia, NC 28054 | 2019-06-13 |
| 1174096911 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 469 Hospital Drive, Suite B1, Gastonia, NC 28054 | 2019-01-04 |
| 1255801817 | Jarae Mcswain | Counselor | 1558 Union Road, Ste F, Gastonia, NC 28054 | 2018-11-27 |
| 1427549807 | Alterman & Dhillon Charlotte Metro, Pplc | Dentist | 2205 E. Franklin Blvd, Ste 110, Gastonia, NC 28054 | 2018-05-22 |
| 1871083147 | Terrence Lamont Campbell | Dentist | 2641 Court Dr Ste A, Gastonia, NC 28054 | 2018-05-13 |
| 1861995367 | Jefferson and Jefferson LLC. | Respite Care | 945 East 6 Ave, Gastonia, NC 28054 | 2018-03-12 |
| 1790154912 | Tyler Adcock | Pharmacist | 2324 South New Hope Rd, Gastonia, NC 28054 | 2015-09-17 |
| 1922481894 | Alesha Nicole Logan | Nurse Practitioner | 1895 Hoffman Rd Ste A, Gastonia, NC 28054 | 2015-07-09 |
| 1457732596 | Buffie Baker Eller | Counselor | 2005 Flint Lane, Gastonia, NC 28054 | 2015-06-15 |
| Find all providers in zip 28054 | ||||
| Taxonomy Code | 224900000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Mastectomy Fitter |
| An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. |
| Notes: Source: National Uniform Claim Committee [7/1/2010: new] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355036 | Tonyan Wilson Hunter | Mastectomy Fitter | 125 E Council St, Salisbury, NC 28144-5019 | 2020-10-30 |
| 1043784762 | Kathleen Wylie | Mastectomy Fitter | 4252 Arendell St Ste C, Morehead City, NC 28557-0015 | 2019-01-15 |
| 1609375310 | Teresa Medford | Mastectomy Fitter | 583 Asheville Hwy Ste 3, Sylva, NC 28779-5114 | 2018-02-08 |
| 1659801488 | Superior Home Medical, Inc | Mastectomy Fitter | 201 N Main St Ste 110, Monroe, NC 28112-4753 | 2017-06-14 |
| 1245615160 | Tiffani Ross | Mastectomy Fitter | 17436 Midnight Express Way, Cornelius, NC 28031-8180 | 2015-07-21 |
| 1558707661 | Kimberly Anne Twine | Mastectomy Fitter | 113 Baxter Ln Ste 8, Moyock, NC 27958-8792 | 2013-05-15 |
| 1811505068 | Tracy Lee Neily | Mastectomy Fitter | 3400 Executive Dr, Raleigh, NC 27609-7476 | 2020-07-14 |
| 1841827995 | Brittany Taylor White | Mastectomy Fitter | 106 Medical Dr, Elizabeth City, NC 27909-3361 | 2020-03-26 |
| 1518514041 | Cathy M Cliff | Mastectomy Fitter | 702 Jefferson St, Whiteville, NC 28472-3706 | 2019-08-20 |
| 1134689326 | Destiny S Davis | Mastectomy Fitter | 405 W 15th St, Washington, NC 27889-3524 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THERESA WALKER UTT.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.